MEDICARE: DOCS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	PA1234	TX

General Provider Information

NPI Number	:	1821448861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCS INC

Provider Business Mailing Address
First Line	:	7716 LAKE JUNE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-1650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7716 LAKE JUNE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-1650
Country	:	US
Telephone Number	:	214-398-8801
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN'S ASSISTANT
Name	:	MR. JESSE HARVEY
Credential	:	P.A.
Telephone Number	:	214-398-8801

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	06/24/2016

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Directions to “DOCS INC ” Practice Location

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